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General NPI Number Information
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NPI Number | 1669065702
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Entity Type | Organization
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Legal Business Name | SHENANDOAH ART THERAPY, LLC
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Dates
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Enumeration Date | 02/19/2021
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Last Update Date | 02/19/2021
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Provider Practice Location Address
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Address Line | 1835 ROSSER AVE STE 2
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City | WAYNESBORO
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State | VA
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Zip | 22980-3284
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Country | US
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Telephone | 540-255-1458
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Fax | 571-482-6060
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Provider Business Mailing Address
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Address Line | 1835 ROSSER AVE STE 2
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City | WAYNESBORO
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State | VA
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Zip | 22980-3284
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Country | US
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Telephone | 540-255-1458
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Fax | 571-482-6060
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Authorized Official
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Title or Position | DIRECTOR & ART THERAPIST
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Name | LAURA TUOMISTO
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Credential | ATR-BC, CTT
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Telephone | 540-255-1458
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 221700000X
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Taxonomy Name | Art Therapist
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License Number |
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License Number State |
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